S. 1815 — End Diaper Need Act of 2025

This section increases the amount specified in section 2003(c) of the Social Security Act for allotments under the Social Services Block Grant (SSBG) program—formula grants to states for social services (e.g., child care, foster care, protective services) targeted primarily to low-income children and adults—to $1,900,000,000 (from $1,700,000,000) for FY2026 through 2029 and appropriates $200,000,000 annually for FY2026 through 2029 to fund the increase. From each year's appropriation, the Secretary of Health and Human Services reserves up to 2% for technical assistance, training, and program support through a qualified national nonprofit organization and up to $3,000,000 in FY2026 for a program evaluation (with reserved amounts not subject to state entitlement). States must use the funding increase, distributed to eligible entities after stakeholder consultation and subject to SSBG limitations and supplement-not-supplant requirements, to (1) provide free diapers and diapering supplies (including medically necessary diapers), adult incontinence materials and supplies, or improved access thereto for low-income families with infants, toddlers, medically complex children, low-income adults, or adults with disabilities; (2) conduct community outreach for such programs; and (3) build community capacity to address these needs. States may use up to 5% of funds for administrative costs (e.g., contracting, monitoring, reporting), and eligible entities may use funds to purchase and distribute such items—including integration with TANF, Medicaid, CHIP, WIC, or other basic needs programs—and support distribution serving specified low-income populations (e.g., families with children age 3 or younger or medically complex children; low-income adults, disabled adults, or children ages 3-18 requiring adult incontinence supplies).

This section designates medically necessary diapers (i.e., absorbent garments worn by individuals age 3 and older due to diagnosed conditions such as incontinence, short gut syndrome, or epidermolysis bullosa, meeting specified quality standards if disposable) and diapering supplies (i.e., wipes and creams to prevent rash) as qualified medical expenses for health savings accounts, Archer medical savings accounts, health flexible spending arrangements, and health reimbursement arrangements. The amendments apply to amounts paid after December 31, 2025 (for the former two accounts) or expenses incurred after that date (for the latter two).